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HomeMy WebLinkAbout43806-Z ��o�S11PFOl,�coG� Town of Southold 12/21/2020 a P.O.Box 1179 53095 Main Rd �y�j01 dao Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41695 Date: 12/21/2020 THIS CERTIFIES that the building WINDOWS Location of Property: 68105 CR 48, Greenport SCTM#: 473889 Sec/Block/Lot: 33.-3-37 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/20/2019 pursuant to which Building Permit No. 43806 dated 5/29/2019 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: alterations (window replacements)to existing single family dwelling as applied for. The certificate is issued to Hanaway,Christopher&Nicole of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED e S gnature �goFFot,r�oTOWN OF SOUTHOLD Sao Gy BUILDING DEPARTMENT y TOWN CLERK'S OFFICE o . SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 43806 Date: 5/29/2019 Permission is hereby granted to: Hanaway, Christopher& Nicole 68-12 Burns St Apt C3 Forest Hills, NY 11375 To: make alterations (window replacement) to an existing single family dwelling as applied for. At premises located at: 68105 CR 48, Greenport SCTM # 473889 Sec/Block/Lot# 33.-3-37 Pursuant to application dated 5/20/2019 and approved by the Building Inspector. To expire on 11/27/2020. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 Build' spector - Form No.6 TOWN OF SOUTHOLD BUHMING DEPARTMENT TOWN HAIL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For newjbnilding or new use: 1. Final survey of property with accurate location of all buildings,property lines,streets,and unusual natural or topographic features. 2. Final Approval from Health Dept_of water supply and sewerage-disposal(S-9 form). 3. Appjpval of electrical installation from Board of Fire Underwriters, 4. Sworn statement from plumber certifying that the solder used in system contains less than 2110 of 1%lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building_ 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9,1957)non-conforming uses,or buildings and"pre-esisting7 land uses: 1. Acc*ate survey of property showing all property lines,streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicanL If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor m writing to the applicant C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. catte of Occupancy on Pre-existing Building- $100.00 3. Co&of Certificate of Occupancy-$25 4. Updated Certificate of Occupancy- $50.00 5. Tem orary Certificate of Occupancy-Residential$15.00,Commercial$15.00 F Date_ 5119, 142,0150 New Construction: Old or Pre-existing Building: C (check one) Location of Property: Cog 105 ROU TE 4 8 CrQEr E N PQ Z i House No. Street Hamlet Owner or Owners ofProperty: CH MS 1 O P H 6 0, Suffolk County Tax Map No 1000,Section 3�J Block Lot Al Subdivision Filed Map. Lot: Permit No_ Date of Permit Applicant: E L ZB 1 ETA M E N.P120 tJ Health DepL•Approval: Underwriters Approval: Planning Board Approval: Request for. Temporary Certificate Final Certificate: (check one) Fee Submitted: $. 150 Applicant Signature �MWA`M s3 � ,.. "' _ tc an rrs}• errs ckte `17 O l SOF SOUIH # # TOWN OF SOUTHOLD BUILDING DEPT. courm, '' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ZFINAL SULA��TII�O-IN--,FRAMING/-STRAPPING [ 9)W4W& [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ .] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: -= DATE L INSPECTOR OE 5001 --- - - - - - ---- } # TOWN OF SOUTHOLD BUILDING DEPT. °�ycou�nN 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] .ROUGH PLBG. [ ] FOUNDATION 2ND [ -] I ULAT CAULKING [ ] FRAMING /STRAPPING FINAL ndUt [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [^ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: VJVNX� _12 VL (?t_v-,V "V, ' DATE 1AIWPO INSPECTOR J . FIELD INSPECTION REPORT-1 DATE COMMENTS FOUNDATION (IST) • H ------------------------------------- 'FOUNDATION (2ND) p ROUGH FRAMING& PLUMBING41 H INSULATION PER N.Y: ,•3 STATE ENERGY CODE %n AfJ4r K FINAL ADDITION CO NTS l # XV a• KID of ct 0 . t Z • m z • H d •y TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets ofBurlding Plans TEL:(631)765-1802 Planning Board approval FAX:(631)765-9502 Survey. SoutholdTown.NorthForknet PERMIT NO. Check Septic Form N.Y.S.DY—C. Trustees C.O.Application Flood Permit Examined 20 Single&Separate Storm-Water Assessment Form 2cl Contact, , Approved 20 I Mail to: SCOTT -;yW U C7 H MA N Disapprovedalc 105 61ATT006ALL, LNLAM1.0N9UQY C040093 Phone: 86o-952- 4112 Expiration L, i dug r APPLICATION FOR B MAY 2 0 2019 Date Jt � 20 INSTRUCTIONS rTlris,appltion MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 set5,ofplans,.ac� j) Plan t4 scale_Fee according to schedule b:Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public sheets or areas,and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Budding Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. APPLICATION IS BEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Budding Zone Ordinance of the Town of Southold,Suffolk Courcy,New York,and other applicable Laws,Ordinances or Regulations,for the construction of buildings,additions,or alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,It g code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. APPPOVED AS TI DATL .. B.P.#r�t_ � (Sigpataneofappliaantor�e,ifacarporrtion) f Ct., 1200 BY . � . .�� �l9 smeeSON �e SGNIL.6it X11, IL 6019G NOT FY BU!!_L �`i!G Itp /il mi 1lNf AI (Mailing address of applicant) Sly aV$�ther4a licairit)is owner,F1t j Qent;architect,engineer,general contractor,electrician,plumber or builder FOLLOWING INSPECT,ulf 111. dpi i_n i r�hi _ r1�t�16 N,F1RFD - NameQ� POUhfD C(s1lCRL L CHh�15TOPNER, HANA14A Z. 3�1a1 (As on the tax roll or latest deed) If�ap�9in'c t i�T��colrporation,sienature of duly authorized off= t*a g D ��g C, OR 4. FINAL - COfa."�1RUCTI I MUST �y�,U B WNaWd Rh&t tle of'Farj o&i a officer) ��, �� L U L BitFl�er��i�eps lI,�6 1()N �'I IN L MEET THE + �� �� � CA P LbLiee�sejirio��-;����nn�=��lF Nr tltl � ��d E ->yi tm��O,. s,r c�n t��c�i�i.��� ���� �v DL�S G� tc Um 1��� C � 1. Location of land on whicliproposed work will be done: Gg 05 ROUTE 8 Q4EENPOQi NY House Number Street 2 Hamlet J County Tax Map No.1000 Section Block 3 Lot 3 REMOVE AN' REPUICE 1 W1NDOU I LIU UITA LIICIE t NO STW LAPM/ C114 ANt;r6 s. 8 r Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy IZ E s l D I E N T I to L b. Intended use and occupancy ieE S I J E N 1119t, 3. Nature of work(check which applicable):New Building Addition Alteration Repair X Removal ^ Demolition Other Work 4. Estimated Cost Fee (Description) (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage,number of qts 6. If business,commercial or mixed occupancy,specify nature and extent of each type ofuse. 7. Dimensions of existing structures,if any:Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions:Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction:Front Rear Depth Height Number of Stories 9. Size of lot:Front Rear Depth 10.Date of Purchase Name of Former Owner 11.Zone or use district in which premises are situated 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO 13.Will lot be re-graded?YES NO Will excess fill be removed from premises?YES NO 14.Names of Owner ofpremises(')IRtSft�HEe NAN44Address681o5 OWE 4$ Phone No. 91� 56 6194 Name of Architect Address GaepAveT Phone No Name of Contractor HOME .DEPOT USA Address Phone No_ 860 L .2455 ?ACES FSR,QY CC) I ATI,A MM CSA 30333 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO X *IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED. b.Is this property within 300 feet of a tidal wetland?*YES NO� *IF YES,D.E.C.PERMITS MAY BE REQUIRED_ 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. 17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 18.Are there any covenants and restrictions with respect to this property?*YES NO *IF YES,PROVIDE A COPY- '-3-11 OPY.'ZII i n 15 STATE OF NEW—VOW SS: COUNTY OF CCbIG ) EL261 l_rA M Er1DW J being duty sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (Swe is the A&EN r (Contractor.Agent;Corporate Officer.etc_) of said owner or owners,and is duly authorized to ru+�tb ,y�rvck,�{ft l$t-q make and file this application; that all statements contained in this application areEethbesQ{£�i1w$ and belief;anti that the work will be performed in the manner set forth in the applicatioefflMLYN S FI G UEROA otary RUNIC State of Illinois Sworn fare me mission Exp s December 10,2022 b da f 20, Iq 8- -a-..m-.- _ I! lir Signature of Applicant a t s 3 i Stffo&county nog Of < � LaMar, Lkensing&'CISurner AfWrs - � HOME iMPROVEM E.Z17"LICENSE , ¢e Name MCHARD TAY Business Aiame HOME DEPOT u&k Tftcat th , c m M ftLicense Number f-x.54.29 Issued: 05115/2014 Expires: 11/012020 httpsJ/av prod_County_suf/portlets/fee/receiptView-do?mode=view&autoprint faise&r '4� . CERTIFICATE OF LIABILITY INSURANCE °02%=°°m"�' oznisr�ols THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER- IMPORTANT OLDERIMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the poWws)must have ADDITIONAL INSURED provisions If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain A be . policies may sequin)an endoraemenLerlf. A statement on this certificate does not confer rights to the certificate holder in lieu of such andorsement(s). PRODUCCONTACT ER USA,INC NAIIE. TWO ALLIANCE CENTER PttDNE FAX 14416): 3560 LENOX ROAD,SUITE 2400 E ATLANTA,GA 30326 INSURIERRAFFORDINSCOVERNM )tA1CiE CN101642069-HmxO-GAW-19-20 INSURER :Old Republic Insurance Co 24147 INSURED THE HOME DEPOT,INC. INSURER a:New Hampshire Irts CO 23641 HOME DEPOT U.SA,INC. muRE3t c.-Hwmf;sk Capfive Inswaloe Cappany 2455 PACES FERRY ROAD BUILDING G20 ATLANTA,GA 30339 N9IREIt E- INSURM F- COVERAGES CERTIFICATE NUMBER: ATL4M353439-28 REVISION NUMBER: 21 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDMON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES-LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADM SUM LTR 7YPEOFNSURANCE POL1CFNU Nam POUC7r POLICYE7tP LIWM A X COMMERCIALGENERALUABILITY MWZY 314574 03101/2019 03101/2022 EACH OCCURRENCE $ 1,000,000 CLAIMS"MADEDAMAGE TO RENTED— X OCCUR PREMISES Ea acaaranoe $ 1,000,000 X SIR$1,000.000 MED EXP Oft are pmun) $ EXCLUDED PERSONAL&ADVRN.ItrRY $ 1,000,000 GENLAGGREGATELtifTAPPLIESPER: GENERALAGGREGATE $ 1.000,000 X POLICYF1,Eta ❑LOC PRODUCTS-COMPIOPAGG ,$ 1,000,000 OTHER: i I $ A AUTOMOBILELIABILRY MWFB314573 031012019 031012022aaWar�Nm N LIMIT $ 1,000,000 X ANYAUTO BODILY IXJIURY(Par pmm) $ OYViIEDSCHE�ULm SELF INSURED AUTO PHY DIS BODILY Baturttr(Peraaidecq $ AUTOS ONLY AUTOS HIRED MON47fiNED ;ROP A ONLY AUTOSY $ $ UMBRELLAUABOCCUR EACH OCCURRENCE $ EXCESS LIAR HCIAMS-MADE Ai,'GRE6ATE $ DED I ,RETENTION $ B WOR193"COMPENSATION WC 012717099(AK,101,NJ Vr) GNOM9 031012020 X I PER 6EW- B AND EMPLOYERS' UM LULIIY YIN STATUTE 632 RIEE ANYPROPrORIPARTNER �CUTNE WC 01271710a(IM) 03A12019 03A1202D 5,000,000 OFFICERIMEMBEREXCLUDED7 a NIA E.L EACH ACCIDENT $ (Mandatory In NH) ELDISEASE-EAEMPLOYEE $ 5.M0.090 Ryes,desabe under DESCRIPTION OF OPERATIONS below COnlinued on Aditn2l Page EL DISEASE-POtH,Y UWT $ 5,000,000 C E==Aub 297110011002019 03/01/2019 031012020 Lim 4,000.000 A Excess General Liar MV92X 314580 03m12019 03DIrM Linn B4OOQ000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required) EVIDENCE OF INSURANCE CERTIFICATE HOLDER CANCELLATION HOME DEPOT USA,INC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2455 PACES FERRY ROAD THE E]6PIitAT10N DATE THEREOF, NMICE WLL HE DELIVERED IN BUILDING G20 ACCORDANCE WRH THE POLICY PROVISIONS. ATLANTA,GA 30339 AUIrfORRIEDREPRESBITATNE of harsh USA Inc. Manasid Mukherjee _Manana.: /e e a ®1988-2015 ACORD CORPORATION. All rights weserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101642069 Loc#: Atlanta A4COI" ADDITIONAL REMARKS SCHEDULE Page 2 of 3 AGENCY NAMED INSURED MARSH USA,INC. THE Ii0i6E DEPOT,INC. HOME DEPOT U.SA,INC. POLICY NUMBss 2455 PACES FERRY ROAD BUILDING C-20 ATLANTA,GA 30339 CARRIER MAIC CODE - UFECT1VEDA7E ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Cerfificate of Liability Insurance Waters Compersaol Caixed Carrier:Indemnity insurance Company of Nath America Polley Number:WLR 065890549(ALAR,FL,ID,IA.KS,KY,LA.MS,MO,NE,NM.ND,OK,SC,SD,TN,WV,WY) Ermc Me Date:03101 019 Expira6bn Dale:MOM (EL)Ludt 55,000,000 Carrier:New Nampslwe Ilsrealce Company Pokey Number.WC 012717098 PC,DE,HI,IN,MD,MN,MT,NY,RI) Effective Data.03101)1019 Expiration Date:031011= (EL)Lint$5,000,000 Cartier:ACE American Insurance Company Policy Number.WCU C65NO586(OSQ(AZ,CA,R NC,OR,VA,WA) Effective Date:030112019 Egiratinn Dale:0301 0M (EL)Limit:$4.000.000 Sot$1=000SStf orOre stairs of AZ,CAA jIC,OR,VA WA Cartier.Nabord Union Fra Insurance Company Polly Number:)WC 5565596(Qsn(CO.CT,GA,ME UJ,NV,OH,PA LIT) Effacive Dale:03+01)1M9 Expiratim Daie:03dO1rM (EL)Lint$400.00D $1,0W,WDSIR for the states dCOaE NV)A OHAk Ur $750,000 SIR for the state of GA $350,000 SIR for the state of CT Carrier:National Union Fere Inmoarce Company Poky Nurtber XNC 5565597(Qq M Efkcdm Dale.031018019 Expiration Date:03ffllrM (EL)Umrt$4,500,000 SIR$5DD.000 TX Empbyers 16 Indandty: Carrier:ltidos Union' Company Poky Number:TNS 065221019(M Effacbve Date:0301019 Ey#mfim Dale:03101/2020 (EL)Lmdt$10,000,000 SIR$1,000,000 ACORD 101(2008/01) ®2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are reg"ishm d marks of ACORD AGENCY CUSTOMER ID: CN 101642069 LOC#: Attanta .4C -- ADDITIONAL REMARKS SCHEDULE Page 3, of 3 AGENCY NAMED INSURED MARSH USA,INC. THE HOME DEPOT,INC. HOME DEPOT U.SA,INC_ POLrCr MUMeIR 2455 PACES FERRY ROAD BUILDING G-20 ATLANTA,GA 30339 CARRIER NAIC CODE EI-T:ECftVE DATE ADDRIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance HOW DEPOT WSUF EW— The Hare Demi hm i The Home Depot U.SA,!Inc. Home Depot USA,Inc. The Hare Depot mle HDepot USA IrIC dT Your Other Wauehase,LLC Hare Depot of RmM HiiA br- Hare Depot RoduetAu�".LLC Hoare DepotStoreSWpnrt,tic Red Beauim,LLC ii Home Depot U.S.A.,kla tlba kbdne Brands Barlett Capped EagleMaiftla mSupply H&ftm EW= Lemn Mainteranoe USA Reeruorratiors Pts Suppillwaft US tart Wirer ! clemSoume JanPak i AmSau Sem" Tim- Tip Tededoles i ACORD 101(20=01) O 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marls of ACORD Go Permits,LLC 105 Buttonball Ln. Glastonbury,Ct 06033 Scott Doughman f . Phone:860-952-4112 Fax:860-430-6719 scottdoughman@gopermits.org "WE UNDERSTAND THAT YOUR TIME IS MONEY" May 15 2019 To:Town of Southold Building Department Subject: Permit Application for: CHRISTOPHER HANAWA 68105 ROUTE 48 The above listed homeowner has contracted with Sears Home Improvements to replace the windows in his home. The below listed documents are included with this letter. • Notarized permit application • CO Application • Check for$250 payable to Town of Southold • Contract with Home Depot USA detailing scope of work • Home Depot Suffolk County License • Certificate of Insurance • Letter of Authorization from Home Depot USA allowing GoPermits to submit documents on their behalf • Windows specification spec sheet and u-factor sheet Please note the following: D • Please mail original permit to the owner. • Please fax or e-mail a copy of the permit and receipt to: MAY 2 1 2019 � Fax. 860-430-6719(attn:Scott Doughman) Email:scottdoughman@gopermits.org • If fax or e-mail is not available,please mail a copy of the permit and receipt to: Go Permits,LLC 105 Buttonball Ln. Glastonbury,Cr 06033 Thank you! Ella Mendron, Permit Expediter Go Permits, LLC Phone:847-671-4606 elzbietamendron@gopermits.org Go Permits LLC,105 Buttonball Ln.Glastonbury Cr 06033,scottdoughman@gopermits.org �, .dr�51- DATE: 1DATE: Sly aft I g ATTN: Town Building Inspector RE: PERMIT AUTHORIZATION LETTER To Whom It May Concern: In accordance with Public Act 9I-95, this letter serves as written authorization and notification that Go Permits LLC, and its employees and agents have the authority to represent us in the procurement of permits and pertinent documentation on our behalf. This letter or a photocopy thereof may be regarded by'any building official as it's authority to recognize Go Permits LLC as our authorized Agent to sign on our behalf applications for permits rd any other related documents that may be required by you, and we agree that, for all purposes,we and not Go Permits LLC or it's employees and agents shall be deemed to be the{signer of any such applications and related documents. Scope gworlc QEMOUE A'NI) P-OU) CP • - A WIND104 L 14E W711 LICE , NO -,--- CH ANCsES . Location G9105 WLITE 4 9 a Authorilzed Agent Go Permits LLC e L Z 6 I E T-A• MEN J aO rJ Service Agent Name Best Regards, Lic ee Signature t N e Sk�LicenseNum�ber NOTE: PLEASE MAIL PERMIT TO: JEFFRE J KURR {VOTARY PU6U(, OF NEW YORK THD At-Home Services In Registration;"it' ?; „1610'1581 mff i►ed in�L;ioi�Cnuf*' 40 Oser Avenue. Suite 17-Hauppauge,NY 117 Quafres VNareh aU - Phone:631-47"101-Fax:631-435-4837©Toll Free:877 Home Improvement Agreement: Scope of Work 0, Scope of Work Job#: Products: Spec. Install Product Total Sheet(s)#: Price: Price: Sales: 1-M17XDEU ung Sing Windows Insulation 1- 149.00 651.00 Gutters/Covers- Entry Door I M17XDEU Roofing Siding Windows Insulation Gutters/Covers Entry Door Roofing Siding Windows Insulation Gutters/Covers Entry Door Roofing Srdmg Windows Insulation Gutters/Covers Entry Door Roofing Siding Windows Insulation Gutters/Covers Entry Door Subtotal ' ? D AO(Aad /� /m L/ Sales T w- l.(�1 (�l✓1 Q(�V 0.00 Total Contract Amou 800.00 Warranty The warranty on the work identified above is listed in the General Terms and Conditions,or if applicable,specified in the folowing documents: Warranty Name(s): The Home Depot-2455 Paces Ferry Road,N.W.Bldg.B-3,Atlanta,Georgia 30339-Customer Care:1-800-466-3337 460F1 FOE(usMrtrer Agreement(2N Jai 18) v 0.1.3 WINDOW SPECIFICATION SHEET - Spec,Sheat#: t-M17XDEU Sheet: 1 Of 1 Customer: CHRISTOPHER HANAWAY Job N:1-M17XDEU Consultant: Vance Comerford Dale: 06/07/2018 New Window Existing Window Hinge Locations Measurements Grids Product Options Labor Options From outside, Left to Right Bays,Bows Location Color Rough Opening e7 of bare 0 of baro Carni 1 Pnl, use L,R or S Glow Mlao Rema Hardware Code Scroero For doom use Room Floor Code (YM) Style Code Seders CodeT11 § � 9 F,V � � � 1 � � Mull 5°v stationary or Style Wr il X' operating 1 STD,White, WRAP,LSR 1 DINE tet DH Y DH 6100 WH WH 34,00 81.00 e6 SH H ,W C TOP 2 1 GlassPack:Standard Gio SPECIAL CONSIDERATIONS: 1:White Wrap Color interior casing Typo Bay or Bow window, atboard material(vinyl only-Birch or Oak) Bay Project Angle(30 or 4E) Say Flanker Typo(DH,SH,or Csmnt) Top of window to soffit(inches) ff tied to sold,color of soffit material I have reviewed and agree with all the job specifications above and the Construct Roof(Yes or No)' Special Terns and Conditions on the following page Garden Window: .Seetboard Material(vinyl only-While Plonits,Birch or Oak) VantagepoInte - The Home Depot 6100 Series by Simonton Double Hund :� S I MONTOI°J With Grids Glazing Gas Spacer system to Thickness U-Pactor R-Value Visible Transmittance Solar Heat Coln UV Block Coefficient Total Unit Center of Totat Unit Center of Total Unit Center of Total Unit Center of Center of Glass Glass (Riess [class Glass Clear/Clear Air Intercept Spacer 0,75 0.49 0.49 2,04 2,04 0.52 0.81 0.49 0.75 0.42 Low-E 270/Clear Air Intercept Spacer 0,75 0.37 0,3 2,7 3,33 0.45 0.7 0125 0.37 0,85 Low-E 366/Clear Air Intercept Spacer 0,75 0,37 013 2,7 3,33 0.41 0.64 0.18 0127 0,84 TIAC36/Clear Air Intercept Spacer 0,75 0,37 0.3 2,7 3.33 0,44 0.68 0.24 0,36 0162 Low-ENO/Clear Argon Intercept Spacer 0,75 0.34 0.26 2.94 3,85 0.45 0.7 0,24 0136 0,85 Low-E 270/Low E Argon Intercept Spacer 0,7S 0.32 0.25 3.13 4 0.39 0.6 0,23 0134 0,95 270 Low-E 366/Clear Argon Intercept Spacer 0,75 0.33 0.25 3.03 4 0.41 0,64 0118 0.27 0.84 Low-E 366/Low E Argon Intercept Spacer 0. 0,75 0.32 0.25 3,13 4 0,33 0.51 0,18 0,26 0.95 366 TIAC36/Clear Argon Intercept Spacer 0,75 0.33 0126 103 3,8S 0.44 0.68 0,24 0,36 0.65 TIAC36/TIAC36 Argon Intercept Spacer 0.75 0.32 0.25 3.13 4 0.36 0.56 0.22 0,33 0.9 Low-E 270/Clear Krypton Intercept Spacer 0.7S 0,32 0,23 3.13 4,35 0.45 0.7 0,24 0,36 0.85 Low-E 270/Low E Krypton Intercept Spacer 0.75 0.31 0.23 3,23 4,35 0.39 0,6 0,23 0.34 0,95 270 Low-E 366/Clear Krypton Intercept Spacer 0.75 0,31 0.23 3.23 4,35 0.42 0.65 0.18 0.27 0.84 Low-E 366/Low E Krypton Intercept Spacer 0.75 0,3 0.22 3.33 4,55 0.33 0.S1 0,18 0.26 0.95 366 TIAC3G/Clear Krypton Intercept Spacer 0.75 0,32 0.23 3.13 4.35 0.44 0.68 0.24 0,36 0.85 TIAC361TIAC36 Krypton Intercept Spacer 0.75 0.31 0.23 3.23 4.35 0.36 0.56 0,22 0,33 0.9 Clear/Clear Air Super Spacer 0.75 0.48 0.49 2.08 2,04 0.52 0.81 0.49 0.75 0.42 Low-E 270/Clear Air Super Spacer 0.75 0.36 0.3 2,76 3.33 0.45 0.7 0.25 0.37 0.85 Low-E 366/Clear Air Super Spacer 0.75 0,36 0.3 2.78 3.33 0.41 0.64 0,18 0.27 0.84 TIAC36/Clear Air Super Spacer 0.75 0.36 013 2.78 3.33 0.44 0.68 0.24 0,36 0,62 Low-E 270/Clear Argon Super Spacer 0.75 0.33 0.26 3.03 3.85 0.45 0.7 0.24 0.36 0.85 Low-E 270/Low E Argon Super Spacer 0.75 0,32 0,25 3.13 4 0.39 0.6 0.23 0.34 0.95 270 Low-E 366/Clear Argon Super Spacer 0.75 0.32 0.25 3.13 4 0.41 0.64 0.18 0.27 "4 Low-E 366/Low E Argon Super Spacer 0.75 0.31 0125 3.23 4 0.33 0.51 0.18 0,26 0.95 366 TIAC36/Gear Argon Super Spacer 0.75 0.33 0.26 3.03 3.85 0.44 0.68 0.24 0,36 0.85 TIAC36/11AC30 Argon Super Spacer 0.75 0,32 0.25 3.13 4 0.36 0,56 0.22 0.33 0.9 Low-E 270/Clear Krypton Super Spacer 0.75 0.31 0.23 3.23 4.35 0.45 0.7 0.24 0.36 0.85 Low-E 270/Low E Krypton Super Spacer 0.75 0.3 0,23 3.33 4.35 0.39 0.6 0.23 0.34 0.95 270 Low-E 366/Clear Krypton Super spacer 0.75 0.31 0.23 3.23 4.35 0.42 0.65 0.18 0,27 0.84 Low-E 366/Low E Krypton Super Spacer 0.75 0.3 0.22 3.33 4.55 0.33 0.51 0.18 0.26 0.95 366 TIAC36/Clear Krypton Super Spacer 0,75 0,31 0.23 3.23 4.35 1 0.44 0.68 0.24 0.36 0.85